Treatment & therapy.

We measure our success by your quality of life.

During physiotherapy, our patients train to regain large movement patterns.

During physiotherapy, our patients train to regain large movement patterns.

Parkinson's disease has many faces because it manifests itself as all kinds of different symptoms. No two diseases are the same and so each patient has their own medical history. Our experienced team of doctors, therapists and nurses have a large number of well thought-out treatment concepts to hand, for the optimum individual therapy for each and every patient. Our main objective is: To preserve the quality of life of our patients and if possible   improve it. And it is not only our patients who appreciate this. Patients come to us from all over the world for treatment.
By providing our patients with long-term and personal care we are able to adapt the therapy to their particular circumstances, personal aims and the progression of their disease. Whether by a change of medication, speech therapy, motor skills training or the provision of medical aids. We can care for you as an inpatient or day patient.

 

Our medical services include, in particular...

  • Diagnostics: Clarification of other Parkinson-like diseases („atypical Parkinson's syndrome“), neuropsychological testing, imaging techniques (magnetic resonance imaging (MRI) computer tomography (CT) and drug trials
  • Outpatient second or third opinion, detailed consultation, and patient follow-up
  • Medication readjustment and change  
  • Medication pumps for continuous dopamine stimulation by means of the  Apomorphine and L-Dopa (Duodopa®) pump systems
  • Complex multimodal treatment (Therapy approach with a large number of therapies adapted to the symptoms): Physiotherapy, especially Munich Anti-Freezing Therapy (MAFT) and for camptocormia (abnormal stooped posture) and Pisa syndrome, physical therapy, ergotherapy, sports therapy, logopaedia
  • Surgical: Deep brain stimulation, indication and adaptation of deep brain stimulation
  • Parkinson's diet for patients who experience a diet-related increased fluctuation in the effects of the medication.
  • „Botox“ for excessive salivation
  • Outpatient video-supported therapy
  • Outpatient Clinical Research Centre: Patients can take part in studies on new substances and in the examination of special Parkinson-related problems.
 

Which forms of treatment do we offer?

  • Outpatients 
    Second or third opinion, detailed consultation, monitoring patients' progress
  • Day clinic 
    Live at home, treatment in the clinic: you are mobile enough to come to the clinic during the day for complex multimodal therapy  and to live at home as usual.  
  • Inpatient treatment 
    For: Readjustment or change of medication, Complex treatment of Parkinson's, medication pumps, determination of indications and adjustment of deep brain stimulation
 

Conservative therapy: Controlling symptoms successfully.

The insidious depletion of dopamine-producing cells in the brain produces a whole variety of symptoms, which manifest themselves individually and can change over time. We therefore offer life-long treatment, which is adapted to your illness as well as to your circumstances.
Besides optimally adjusting and changing your medication, our interdisciplinary team offers a large number of treatment options. For instance, we use the tried and tested Lee Silverman Voice Treatment for speech disorders, improve your mobility with special physiotherapy and our ergotherapists train you for everyday activities – in order to optimise your home environment at the same time.
Because Parkinson's, as a chronic illness, also affects your environment, clarification, counselling and psychological support for your relatives is another permanent component of our treatment concept.

 

Improve communication with speech therapy.

The special Lee Silverman Voice Treatment promotes loud speech.

The special Lee Silverman Voice Treatment promotes loud speech.

Many patients with Parkinson's have monotonous and slurred speech. With Lee Silverman Voice Treatment (LSVT), patients can to increase their vocal loudness and so increase the intelligibility of their speech.

 

Learning movement.

Special anti-freezing canes are intended to prevent "freezing".

Special anti-freezing canes are intended to prevent "freezing".

Problems frequently experienced by Parkinson's patients are on the one hand that their range of motion becomes increasingly smaller and on the other that they experience 'freezing' of gait episodes. With the special LSVT Big therapy, you learn how you can increase your range of motion again. We are also only one of two training centres in Germany for LSVT Big therapy.
We have developed the special Munich Anti-Freezing Training to prevent „freezing&ldquo of your movements.

 

Video-supported therapy.

The patient's daily life at home is filmed for video-supported therapy.

The patient's daily life at home is filmed for video-supported therapy.

For patients, who for a variety of reasons do not want or cannot come to the hospital, we offer video-supported therapy in cooperation with practising neurologists. The patient's movements are filmed at home at a time of the patient's choosing and a practising neurologist can watch the videos. Prof. Dr. Andres Ceballos-Baumann, the speciality registrars,  Dr. Michael Messner and Dr. Christian Löer are there to provide advice to registered doctors.

 

Besides medical treatment, our therapeutic services include:

  • Physiotherapy in individual –and group therapy
    • Strength training, perception training and stretching exercises
    • Relaxation exercises
    • LSVT BIG for a greater range of movement
    • MAFT (Munich Anti-Freezing Training)
    • Tai Chi Chuan
  • LSVT to increase speech loudness
  • Dancing (without relatives)
  • Ergotherapy to overcome everyday problems and to provide medical aids
  • Swallowing therapy
  • Neuropsychological diagnostics for orientation and memory disorders
  • Involvement of relatives
 

Medication pumps and deep brain stimulation

If we are unable to control the fluctuating effects of the tablets, the change from hypokinesia to hyperkinesia, there are other options: These are, in particular, pump systems or the implantation of electrodes in the brain. In each case it is necessary to spend a few days in our special clinic. The Parkinson's neurologists decide together with the patient on further therapy measures. The following forms of therapy are available to the patient, the advantages and disadvantages of which must be weighed-up in each case by the doctor and patient.

 

Pump systems.

The pump system (illustrated here) releases medication directly into the stomach.

The pump system (illustrated here) releases medication directly into the stomach.

Pump systems take care of continuous administration of Dopamine substitutes. This enables a far more uniform concentration of dopamine in the brain to be achieved than with tablets. The pump systems differ in terms of pump size and the site of administration depending on the active ingredient used.

 

Apomorphine pump.

With apomorphine pump therapy infusions are given during the day.

With apomorphine pump therapy infusions are given during the day.

We are the leaders in Germany in the use of medication pumps such as the L-Dopa pump.
Apomorphine is given as an infusion using a fine needle under the skin. The infusion is mostly administered during the day, but can also be applied for 24 hours. The infusion site should be changed if possible every day. Insulin pumps for diabetics are used in a similar way.
L-Dopa pump: A special preparation of L-Dopa in the form of a gel can be administered by means of a pump and a thin tube (placed surgically through the abdominal wall and left in place), through which it is introduced into the small intestine via the stomach.

 

Deep brain stimulation

A brain pacemaker works in a similar way to a cardiac pacemaker, but it can be constantly readjusted externally.

A brain pacemaker works in a similar way to a cardiac pacemaker, but it can be constantly readjusted externally.

For deep brain stimulation, thin electrodes are guided into both sides of the brain through a fine drill hole in the skull. The cable ends are then placed under the scalp and connected to a pulse generator, which, as with a cardiac pacemaker, is usually inserted under the collarbone. The doctor can adjust the setting of the „pacemaker“ and control and adapt it to the severity of the patient's symptoms. Many of our patients treated with deep brain stimulation therefore experience a significant improvement in their quality of life.

 

Specialised Parkinson's nurses.

Besides neurologists and therapists with many years' experience in caring for patients with Parkinson's, many nurses have the additional "Parkinson's nurse" qualification. All nursing staff are trained to treat Parkinson's and know all about the disease and its associated problems. They are therefore just as prepared for the fluctuating effects of the medication, the off and on phases, the involuntary movements (dyskinesia) and possible changes in personality as they are to handle the many medications for Parkinson's and, if necessary, also using special pumps and deep brain stimulation. We are also a training centre for the additional qualification „Parkinson's nurse“.

 

Follow-up

You can contact an attending physician 24 hours a day, who will advise you or your relatives, for example, if you have a problem with the medication pump, or if necessary will arrange an appointment for you immediately. In addition, we carry out regular follow-ups to check if the medication settings are correct and whether symptoms have improved or deteriorated, and we then take appropriate measures. Our patients should therefore come at least once a year to the Outpatient Department.